Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark K Jordan, MD

Individual provider Cardiovascular Disease Physician · NPI 1922002252

Dr. Mark K Jordan, MD is a Cardiovascular Disease (Cardiology) in Edgewood, Kentucky. Graduated from Wake Forest University School of Medicine in 1997, 29 years ago. Practices with St Elizabeth Medical Center, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
29
Trained at
Wake Forest University School of Medicine
Licensed in
IN, KY
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

711 Medical Village Dr
Edgewood, KY 41017
Phone: (859) 287-3045
Fax: (859) 578-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 38774 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 01071044A (IN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 01071044A (IN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 38774 (KY)

Record details

NPI number1922002252
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing addressPo Box 636324, Cincinnati, OH 45263-6324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesVASCULAR SURGERY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice St Elizabeth Medical Center, Inc — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewood